FDA Adverse Event Malfunction Summary report: N

SYNCHRON LX® I 725 CLINICAL SYSTEM

MDR report key: 1832417 · Received September 13, 2010

Report

Report Number
2122870-2010-00522
Event Type
Malfunction
Date Received
September 13, 2010
Date of Event
August 11, 2010
Report Date
September 10, 2010
Manufacturer
BECKMAN COULTER, INC.
Product Code
MMI
PMA / PMN Number
K023049
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SAMPLES ARE LI HEPARIN PLASMA THAT WERE CENTRIFUGED FOR 5 MINUTES AT 3500 RPM. QC ON 08/13/2010 WAS WITHIN THE CUSTOMER'S ESTABLISHED RANGES. A FIELD SERVICE ENGINEER (FSE) WAS ON SITE 08/16/2010 AND PERFORMED VERIFICATION PROTOCOL, AND CARRYOVER TEST. THE RESULTS MET PUBLISHED PERFORMANCE SPECIFICATIONS. NO HARDWARE ISSUE WAS NOTED. A DEFINITIVE ROOT CAUSE FOR THE EVENT HAS NOT BEEN DETERMINED TO DATE.

Description of Event or Problem · 1

A CUSTOMER CONTACTED BECKMAN COULTER INC. (BCI) IN REGARDS TO ERRONEOUSLY HIGH TROPONIN (ACCUTNI) RESULTS WITHIN THE RISK STRATIFICATION RANGE AND ABOVE THE AMI CUT OFF GENERATED ON SYNCHRON LXI 725 CLINICAL SYSTEM FOR SEVEN PATIENT SAMPLES. THE RESULTS WERE NOT REPORTED OUT OF THE LABORATORY. UPON REPEAT, THE RESULTS WERE WITHIN THE NORMAL REFERENCE RANGE. THE CUSTOMER DID NOT RECEIVE ANY REPORT OF DEATH, INJURY, OR CHANGE TO PATIENT TREATMENT ATTRIBUTED TO OR IN CONNECTION WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHRON LX® I 725 CLINICAL SYSTEM DISCRETE PHOTOMETRIC CHEMISTRY ANALYZER MMI BECKMAN COULTER, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1